OrganizationActive
Bass & Kamp South Main LLC
NPI 1306486840 · Dental Clinic/Center · Blacksburg, VA
Bass & Kamp South Main LLC is a Dental Clinic/Center organization in Blacksburg, VA (NPI 1306486840).
Provider details
- NPI number
- 1306486840
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Justin Tebbenkamp, Member(540) 838-5050
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
210 Professional Park Dr Se Ste 11
Blacksburg, VA 24060-6649
Phone: (540) 951-3989
Street-level locationGet directions
Mailing address
210 Professional Park Dr Se Ste 11
Blacksburg, VA 24060-6649
Other names (DBA / former)
- Doing business as
- New River Dental Associates
Registry dates
- Enumerated
- 2020-01-13
- Last updated
- 2020-01-13
- Certified
- 2020-01-13
Frequently asked questions
- What is Bass & Kamp South Main LLC's NPI number?
- Bass & Kamp South Main LLC's National Provider Identifier (NPI) is 1306486840, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bass & Kamp South Main LLC?
- Bass & Kamp South Main LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bass & Kamp South Main LLC located?
- Bass & Kamp South Main LLC's practice location on file with NPPES is 210 Professional Park Dr Se Ste 11, Blacksburg, VA 24060-6649.
- What is Bass & Kamp South Main LLC's phone number?
- The practice phone number listed in the NPPES registry for Bass & Kamp South Main LLC is (540) 951-3989.
- Who is the authorized official for Bass & Kamp South Main LLC?
- The authorized official listed on Bass & Kamp South Main LLC's NPPES record is Justin Tebbenkamp, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bass & Kamp South Main LLC's NPI active?
- Yes — Bass & Kamp South Main LLC's NPI (1306486840) is active in the NPPES registry as of the last update on 2020-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.